Evidence map›Paper›PMID 36823308›Full record

ArticleJournal of clinical immunology2023

A Multicenter Cohort Study of Immune Dysregulation Disorders Caused by ELF4 Variants in China.

Gan Sun, Maolan Wu, Qianying Lv, Xi Yang, Junfeng Wu, Wenjing Tang, Rongxin Dai, Lina Zhou, Yuan Ding, Zhiyong Zhang and 8 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of clinical immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Review
  3. A novel ELF4 gene variant disrupts T and NK cell function in a patient with immune thrombocytopenia (ITP).Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
  4. Review
  5. A truncatingFrontiers in immunology · 2026
    Article
  6. Review
  7. Review
  8. Two novel frameshift variations in theTranslational pediatrics · 2025
    Article
  9. Review
  10. Article
  11. Article
  12. [Two Cases of Behcet's Disease-Like Syndrome with Gene Deficiency inSichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2024
    Article
  13. Review
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 6 institutions in 1 country.

Gan SunNational Clinical Research Center for Child Health and Disorders (Chongqing), Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Child Infection and Immunity, Department of Rheumatology & Immunology, Children's Hospital of Chongqing Medical University, Chongqing, China.
Maolan WuDepartment of Pediatrics, Xiangya Hospital, Central South University, Changsha, China.
Qianying LvDepartment of Rheumatology, Children's Hospital of Fudan University, National Pediatric Medical Center of China, Shanghai, China.
Xi YangNational Clinical Research Center for Child Health and Disorders (Chongqing), Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Child Infection and Immunity, Department of Rheumatology & Immunology, Children's Hospital of Chongqing Medical University, Chongqing, China.
Junfeng WuNational Clinical Research Center for Child Health and Disorders (Chongqing), Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Child Infection and Immunity, Department of Rheumatology & Immunology, Children's Hospital of Chongqing Medical University, Chongqing, China.
Wenjing TangNational Clinical Research Center for Child Health and Disorders (Chongqing), Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Child Infection and Immunity, Department of Rheumatology & Immunology, Children's Hospital of Chongqing Medical University, Chongqing, China.
Rongxin DaiNational Clinical Research Center for Child Health and Disorders (Chongqing), Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Child Infection and Immunity, Department of Rheumatology & Immunology, Children's Hospital of Chongqing Medical University, Chongqing, China.
Lina ZhouNational Clinical Research Center for Child Health and Disorders (Chongqing), Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Child Infection and Immunity, Department of Rheumatology & Immunology, Children's Hospital of Chongqing Medical University, Chongqing, China.
Yuan DingNational Clinical Research Center for Child Health and Disorders (Chongqing), Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Child Infection and Immunity, Department of Rheumatology & Immunology, Children's Hospital of Chongqing Medical University, Chongqing, China.
Zhiyong ZhangNational Clinical Research Center for Child Health and Disorders (Chongqing), Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Child Infection and Immunity, Department of Rheumatology & Immunology, Children's Hospital of Chongqing Medical University, Chongqing, China.
Yunfei AnNational Clinical Research Center for Child Health and Disorders (Chongqing), Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Child Infection and Immunity, Department of Rheumatology & Immunology, Children's Hospital of Chongqing Medical University, Chongqing, China.
Xuemei TangNational Clinical Research Center for Child Health and Disorders (Chongqing), Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Child Infection and Immunity, Department of Rheumatology & Immunology, Children's Hospital of Chongqing Medical University, Chongqing, China.
Xiangrong ZhengDepartment of Pediatrics, Xiangya Hospital, Central South University, Changsha, China. xrzheng@csu.edu.cn.
Zhaoxia WangDepartment of Gastroenterology, Shenzhen Children's Hospital, Shenzhen, China. wangzhaoxia1969@163.com.
Li SunDepartment of Rheumatology, Children's Hospital of Fudan University, National Pediatric Medical Center of China, Shanghai, China. lillysun@263.net.
Yongmei XieDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Sichuan province, Chengdu, China. may.xym@163.com.
Xiaodong ZhaoNational Clinical Research Center for Child Health and Disorders (Chongqing), Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Child Infection and Immunity, Department of Rheumatology & Immunology, Children's Hospital of Chongqing Medical University, Chongqing, China. zhaoxd530@aliyun.com.
Hongqiang DuNational Clinical Research Center for Child Health and Disorders (Chongqing), Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Child Infection and Immunity, Department of Rheumatology & Immunology, Children's Hospital of Chongqing Medical University, Chongqing, China. doctordo@aliyun.com.ORCID 0000-0003-4724-4734
Children's Hospital of Chongqing Medical University · CNCentral South University · CNChildren's Hospital of Fudan University · CNDalian Medical University · CNShenzhen Children's Hospital · CNSichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with DEX (deficiency in ELF4, X-linked) were recently reported by our team and others, and cases are very limited worldwide. Our knowledge of this new disease is currently preliminary. In this study, we described 5 more cases presenting mainly with oral ulcer, inflammatory bowel disease-like symptoms, fever of unknown origin, anemia, or systemic lupus erythematosus. Whole exome sequencing identified potential pathogenic ELF4 variants in all cases. The pathogenicity of these variants was confirmed by the detection of ELF4 expression in peripheral blood mononuclear cells from patients and utilizing a simple IFN-b luciferase reporter assay, as previously reported. Our findings significantly contribute to the current understanding of DEX.

Indexed as

Immune System DiseasesLupus Erythematosus, SystemicChinaCohort StudiesDNA-Binding ProteinsHumansLeukocytes, MononuclearTranscription FactorsDNA-Binding ProteinsELF4 protein, humanTranscription FactorsDEXELF4immune dysregulation disordersinborn errors of immunitynovel variants

Identifiers

PMID36823308
OpenAlexW4321611657

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.